Suprapelvic and pelvic phleboliths--a reliable radiographic marker for positive identification

Identification of unknown human remains is often achieved by radiographic comparisons. Among the markers compared in antemortem and postmortem radiographs is the presence of concordant pelvic and supra-pelvic phleboliths which are calcified intravenous blood clots. An illustrative case is presented, where an unidentified decomposed cadaver of an elderly male was positively identified with the aid of medical data provided by the Israel National Police. Two missing persons' records were suggested as possible matches and the concordant presence of phleboliths in one of the cases was useful for the identification. The reliability of phleboliths for radiographic positive identification is discussed along with the etiology and frequency of this phenomenon.